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General NPI Number Information
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NPI Number | 1235340449
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Entity Type | Individual
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Provider Name | DARIUS BLIZNIKAS MD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2007
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 7110 W 127TH ST SUITE 210
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1571
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Country | US
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Telephone | 312-593-0886
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Fax | 312-419-0547
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Provider Business Mailing Address
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Address Line | 7110 W 127TH ST SUITE 210
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1571
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Country | US
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Telephone | 312-593-0886
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Fax | 312-419-0547
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01071829
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 10900
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | 4301085256
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036109618
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License Number State | IL
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